| Wavelengths Recovery | |
|
6 Petaluma Blvd N Ste A7 Petaluma CA 94952-3027 | |
| (714) 312-1011 | |
| Not Available |
| Full Name | Wavelengths Recovery |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 6 Petaluma Blvd N Ste A7, Petaluma, California |
| Authorized Official Name and Position | Warren Boyd (CEO) |
| Authorized Official Contact | 7146422404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wavelengths Recovery 301 Main St Ste 201 Huntington Beach CA 92648-5171 Ph: (714) 312-1011 | Wavelengths Recovery 6 Petaluma Blvd N Ste A7 Petaluma CA 94952-3027 Ph: (714) 312-1011 |
| NPI Number | 1174146658 |
|---|---|
| Provider Enumeration Date | 05/19/2020 |
| Last Update Date | 05/19/2020 |
| Certification Date | 05/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174146658 | NPI | - | NPPES |
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